Alabdulkarim Abdulaziz, AlDukhail Shaikha, Al Qurashi Abdullah A, Abuhaimed Abdullatif, Alshameri Omar, Alghamdi Abdulaziz, Alammar Alwaleed K, Alsahabi Abdulrahman
Plastic Surgery, Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia.
Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.
J Surg Case Rep. 2024 Aug 28;2024(8):rjae537. doi: 10.1093/jscr/rjae537. eCollection 2024 Aug.
A 40-year-old female presented with right mandibular swelling. A panoramic radiograph showed a unilocular radiolucency from the mandibular angle to tooth #46. Biopsy confirmed a schwannoma. Surgical resection was performed via a submandibular approach with a reconstruction plate. Teeth 46 and 47 were extracted. Surgery was complication-free, and histopathology confirmed the tumor's benign nature. The patient was discharged on the second postoperative day. At the 1-year follow-up, she had no paresthesia, normal mouth opening, and full mandibular motion. The reconstruction plate was intact. This case adds to the limited literature on intraosseous schwannomas, emphasizing early detection, thorough radiological assessment, and meticulous surgical planning.
一名40岁女性因右下颌肿胀就诊。全景X线片显示从下颌角至46号牙处有一单房性透射区。活检证实为神经鞘瘤。通过下颌下入路并使用重建钢板进行了手术切除。拔除了46和47号牙。手术无并发症,组织病理学证实肿瘤为良性。患者术后第二天出院。在1年的随访中,她没有感觉异常,开口正常,下颌运动完全正常。重建钢板完好无损。该病例补充了关于骨内神经鞘瘤的有限文献,强调了早期发现、全面的影像学评估和细致的手术规划。